Cieriah Gale
The Colony,TX
Summary
Patient care professional with extensive experience in coordinating healthcare services. Known for strong organizational skills, effective communication, and ability to adapt to changing circumstances. Excel in team collaboration, ensuring seamless patient experiences and achieving optimal outcomes. Skilled in managing patient records, scheduling, and liaising between patients and medical staff. Reliable and focused on delivering high-quality patient care.
Overview
9
9
years of professional experience
Work History
Patient Care Coordinator
Texas Center for Proton Therapy
11.2024 - Current
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Delivered excellent patient experiences and direct care.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Collaborated with interdisciplinary teams to create seamless transitions between various stages of treatment plans, enhancing continuity of care.
- Acted as a knowledgeable resource for patients seeking information about community resources and support services available to them in their healthcare journey.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
- Facilitated communication between patients and healthcare teams, ensuring clarity and understanding of treatment options.
- Enhanced patient satisfaction by coordinating timely care and addressing individual needs.
Medical Claims Specialist
State Farm
01.2024 - 09.2024
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Contributed to the overall financial stability of the healthcare facility by consistently meeting or exceeding billing and collection targets.
- Conducted regular audits of processed claims to identify areas for improvement and potential fraud risks.
- Skillfully navigated Medicare/Medicaid regulations in order to secure maximum reimbursement rates for qualifying services provided.
- Effectively resolved claim disputes by conducting thorough investigations and presenting findings to stakeholders clearly and concisely.
- Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
- Identified opportunities for cost savings by analyzing medical billing patterns across various departments.
- Monitored outstanding accounts receivable balances for trends that could indicate payer issues or potential collection problems.
- Collaborated with interdisciplinary teams to ensure smooth processing and accurate reimbursement of medical claims.
- Enhanced team productivity by providing training sessions on claim processing software and regulatory updates.
- Expedited claim resolution times with proactive communication between patients, providers, and insurance companies.
- Assisted in the development of policies and procedures related to medical claims management, ensuring compliance with industry regulations.
- Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
- Maintained accurate patient records by diligently updating databases and following strict documentation guidelines.
Medical Receptionist
Center For Reproductive Endocrinology
07.2022 - 09.2023
- Greet patients & visitors
- Promptly & professionally respond to patient inquires via telephone & patient portal
- Ensuring all required paperwork are completed
- Perform clerical duties such as scanning, faxing, filing
- Patient scheduling
- Collecting patient financial responsibilities
- Perform other job-related duties as directed
- Inbound and Outbound Medical Records
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Helped patients complete necessary medical forms and documentation.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
Medical Receptionist
Fertility Specialists of Texas
10.2020 - 03.2021
- Works in our Front Desk with patients and visitors in person or on the telephone, answering or referring inquiries, maintaining patient records and accounts
- Maintains patient accounts by obtaining, recording, and updating personal and financial information
- Performs general clerical work for our Front Desk
- Maintains office inventory and equipment by checking stock to determine inventory level, anticipating needed supplies, placing and expediting orders for supplies, verifying receipt of supplies, and scheduling equipment service and repairs
- Maintains Front Lobby and Front Desk area with a neat and professional environment
- Be prepared to discuss physician biographies as well as accurate information about our physicians, office hours and locations
- Answer most FAQ’s (without having to defer to printed material) regarding the most relevant clinical, scheduling, and financial issues
- Check in Patients, Scan, Collect Payments, Complete tasks in eIVF Database, Prep Labels and Req Forms for next day, other clerical duties as assigned
- Promote patient satisfaction by giving feedback to Practice Management regarding ways our organization can improve operations-based services to better address patients’ expectations, schedule appointments, develop referral sources, etc
- Stay informed regarding all market/advertising campaigns and the role of the New Patient Coordinator in accepting related inquiries by telephone and email, especially since those inquiries should transition to new patient appointments
- Contribute to team effort by maintaining an excellent rapport and working relationship with Patient Services and supporting front desk activity as needed; cooperate with other departments as needed
- Maintain patient confidence and protect operations by keeping all patient and proprietary information confidential
- Follow all HIPAA requirements
Assistant Teacher
Carpe Diem Private Preschool
01.2020 - 06.2020
- Support the Lead Teacher to implement the curriculum in a safe, healthy, and nurturing classroom environment that supports each child's social, emotional, physical, and cognitive growth and development
- Help facilitate classroom activities
- Assist in creating engaging, age-appropriate lessons using provided curriculum
- Establish classroom management utilizing positive coaching
- Encourage and assist in positive social interactions
- Ensure the safety and well-being of children at all times
Quality Documentation Specialist
DJO Surgical
04.2019 - 01.2020
- Company Overview: (Contract Assignment)
- Manage/separate all mail correspondence
- Prepare file packets for entry time into the imaging system
- Index batches of data once scanned into the imaging system
- Define and/or delete batches and/or documents for rescan or batch verification
- Check on the quality of documents during scanning
- Match corresponding paperwork to accounts
- Fold, insert, and mail outgoing correspondences
- Manages supply levels of envelopes and all archived documentation
- Sort, match, and prepare appeals, claims, and other documents for the billing teams
- Provide training on scanning workflow and machine operations, as necessary
- EOB, Cash Posting and reimbursements
Benefit Enrollment Counselor
Benefit Harbor
10.2018 - 02.2019
- Company Overview: (Contract Assignment)
- Responds by telephone or written correspondence to inquiries from retirees, members, school districts, agency staff, and other interested parties regarding TRS-Care
- Obtains or provides needed information to members, retirees, employers, and/or vendor representatives by phone, in person or in written form
- Processes routine requests for enrollment
- Conducts reviews and analysis of benefit account records that are associated to individual research requests, or as a result of system exception reports
Courtesy Clerk/Customer Service
Sprouts
12.2016 - 09.2018
- Performed outstanding customer service including greeting more than300 customers daily and guiding them to appropriate aisles
- Conducted proper bagging of groceries and escorted customers to their vehicles and loaded their purchases into their cars
- Completed price checks retrieved products for guests at check stands and responded to other customer needs
- Collected approximately100 shopping carts daily from the parking lot cleaned carts and returned them to store entrances
- Controlled inventory including stock returns
- Achieved100 percent on-time attendance record
Front Desk Receptionist
Patronus Executive Protection
08.2015 - 12.2016
- Providing administrative support to all members of staff, ensuring efficient, and effective operations of all day-to-day tasks
- Preparing and organizing documents, letters, emails, and correspondence as requested by management
- Handling incoming phone calls and other communications
- Greeting clients and visitors and directing them as per their purpose of visits
- Assisting staffing department with various recruitments and human resources tasks
- Maintaining filing system and record information as needed
Education
High school or equivalent -
Hebron High School
Carrollton, TX06-2018
Skills
- Analytical Thinking Skills
- HIPAA compliance
- Organizational skills
- Appointment scheduling
- Customer service
- Patient relations
- Attention to detail
- Patient care coordination
- Verbal and written communication
- Scheduling
- Medical terminology
- Patient records management
Timeline
Patient Care Coordinator
Texas Center for Proton Therapy
11.2024 - Current
Medical Claims Specialist
State Farm
01.2024 - 09.2024
Medical Receptionist
Center For Reproductive Endocrinology
07.2022 - 09.2023
Medical Receptionist
Fertility Specialists of Texas
10.2020 - 03.2021
Assistant Teacher
Carpe Diem Private Preschool
01.2020 - 06.2020
Quality Documentation Specialist
DJO Surgical
04.2019 - 01.2020
Benefit Enrollment Counselor
Benefit Harbor
10.2018 - 02.2019
Courtesy Clerk/Customer Service
Sprouts
12.2016 - 09.2018
Front Desk Receptionist
Patronus Executive Protection
08.2015 - 12.2016
High school or equivalent -
Hebron High School
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